Fair Market Value in Hospital and Physician Transactions: Complying With Anti-Kickback and Self-Referral Laws

This CLE course will guide counsel in understanding the importance of FMV assessments in hospital-physician transactions as a way to ensure compliance with anti-kickback and self-referral laws.

With an increasing focus on improvements in patient care, value-based reimbursement methodologies, bundled payments, costs management, and reduced third-party reimbursements, healthcare providers are exploring innovative ways to collaborate with physicians to deliver care. Healthcare providers are frequently using joint ventures, co-management arrangements, ACOs, and other arrangements to achieve these goals.

Almost every healthcare-related transaction involves FMV issues. For example, parties often must ensure that payments to referral sources are consistent with FMV to satisfy applicable Stark and anti-kickback law exceptions.

Over the last several years, FMV determinations have become a focal point in many government investigations and litigation, with litigants at odds about the basis and appropriateness of FMV comparisons.

Listen as our authoritative panel of healthcare attorneys and advisers examines the laws and regulations that have specific FMV requirements and recent court decisions that address and apply FMV principles. The panel will offer practical tips for obtaining, reviewing, and effectively using valuation reports and avoiding common FMV pitfalls.